Distal Chevron Osteotomy Perspective 1

May 27, 2017 by in ORTHOPEDIC Comments Off on Distal Chevron Osteotomy Perspective 1

   The first reports of a distal metatarsal osteotomy date back to Reverdin, who described in 1881 a subcapital closing wedge osteotomy for the correction of hallux valgus deformity.    The chevron…

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Deltoid Ligament Reconstruction

May 27, 2017 by in ORTHOPEDIC Comments Off on Deltoid Ligament Reconstruction

   Deltoid ligament deficiency is present when both the deep and superficial components of the medial collateral ligament complex of the ankle are ruptured or are insufficient.    Deltoid ligament deficiency may…

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Single-Incision Medial Approach for Triple Arthrodesis

May 27, 2017 by in ORTHOPEDIC Comments Off on Single-Incision Medial Approach for Triple Arthrodesis

   Severe rigid planovalgus foot deformity may be a result of multiple underlying causes.    In long-standing rigid hindfoot valgus deformities, the lateral skin and soft tissues may become severely contracted. In…

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Flexor Hallucis Longus Transfer for Achilles Tendinosis

May 27, 2017 by in ORTHOPEDIC Comments Off on Flexor Hallucis Longus Transfer for Achilles Tendinosis

   Insertional and midsubstance Achilles tendinosis is a painful degenerative process that arises due to mechanical and vascular factors and affects the paratenon and collagen fibers.    It is most commonly seen…

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Retrocalcaneal Bursoscopy

May 27, 2017 by in ORTHOPEDIC Comments Off on Retrocalcaneal Bursoscopy

   Patrick Haglund in 1928 described an enlarged posterior border of the os calcis.4    This anatomy (Haglund deformity) becomes very important when external shoeing/heel counter and repeated hyperdorsiflexion causes contact between…

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Metatarsal Lengthening in Revision Hallux Valgus Surgery

May 27, 2017 by in ORTHOPEDIC Comments Off on Metatarsal Lengthening in Revision Hallux Valgus Surgery

   Shortening of the first metatarsal may occur after first metatarsal osteotomies for hallux valgus correction.1–3    If the first metatarsal is considerably shortened, the patient may develop painful transfer metatarsalgia of…

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First Metatarsophalangeal Joint Hemiarthroplasty

May 27, 2017 by in ORTHOPEDIC Comments Off on First Metatarsophalangeal Joint Hemiarthroplasty

   Hallux rigidus is arthritis of the first metatarsophalangeal (MTP) joint.    The amount of arthritis can range from focal areas of cartilage injury or osteophyte formation without joint space narrowing to…

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